1. Proper Medical Care of the Sickest Patient of All: J. Deane Waldman, MD MBA University of New Mexico: Health Sciences Center & Anderson Graduate Schools of Mgmt University of New Mexico Healthcare

2. University of New Mexico Principles of Good Medical Practice Healthcare Dx & R x JD Waldman, MD MBA 1.Gather data: Obj. & Subj; Present (pt) & past (lit.) 2.Make etiologic diagnosis 3.Evidence-based decision making (logic ≠ sufficient) 4.Treat causes, not symptoms 5.Measures all outcomes, esp. desired & unintended 6.Partner with patient 7.Adjust treatment plan PRN

3. University of New Mexico Diagnostic Tools History Physical exam X-rays Lab studies Review of lit R x partnership Provocative tests Therapeutic trials For Sick Person For Sick System Value Chains C. A. P. A. Queueing theory Systems thinking Learning curves Constraints analysis Cultural survey 5 Forces analysis Managerial acc’ting Lean management Healthcare Dx & R x JD Waldman, MD MBA BCG Matrix Checklists Compet Profiles CGE / CQI / TQM Grainger causality Heijunka Markov model Network analysis Simone’s maxims Venn diagrams

4. Illustrations Healthcare Dx & R x JD Waldman, MD MBA

5. Etiologic Diagnosis: Disconnection Healthcare Dx & R x JD Waldman, MD MBA What is disconnected from what? We….are disconnected from……our money. Measured outcomes…disconnected…desired ones. Decisions….are disconnected from……outcomes. Behaviors….are disconnected from……incentives. WE…disconnected…consensus principles. The cure is therefore…RECONNECTION.

6. Healthcare Dx & R x JD Waldman, MD MBA Dialogue is the first step Leading to Reconnection. ‘Enfranchises’ Spanish-speaking Americans.